Wal-Mart Stores East LP
NPI #1013934397 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1013934397
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- May 30, 2025
Practice Location
- Address
- 3200 N RIDGE RD
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21043-3363
- Phone
- (410) 418-9703
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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